Dr. Andy Chan, Pharm.D
Pharmacist in South San Francisco, CA. Individual provider (NPI-1).
NPI number1265787014
StatusActive
Last updated in NPPESDec 4, 2021
Details
- NPI
- 1265787014
- Entity type
- Individual (NPI-1)
- Name
- Dr. Andy Chan
- Credential
- Pharm.D
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 18, 2012
- Certification date
- Dec 4, 2021
- Last updated
- Dec 4, 2021
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 183500000X | Pharmacist | 65888 | CA | Yes |
Practice location
1200 El Camino RealSouth San Francisco, CA 94080-3208
Phone 626-214-6211
Mailing address
1200 El Camino RealSouth San Francisco, CA 94080-3208
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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